Alfonso a Tan MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22583 Issued in AZ

Legal business name

ALFONSO A TAN MD PC

Practice address

6844 E Brown Rd Ste 101
Mesa, AZ 85207-3758

Phone

(480) 832-5500

NPI assigned

Jun 27, 2018

Last updated

Jun 27, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gilda Tan

Title

Manager

Phone

(480) 832-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alfonso A Tan Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1851886329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6844 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073758",
            "telephone_number": "480-832-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6844 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073758",
            "telephone_number": "480-832-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFONSO A TAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "GILDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-832-5500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "22583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z28281",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alfonso A Tan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tina Alexander, RDN
• Nikita George Alexiades, M.D.
• Maria Alexov, M.D.
• Dana Karina Alfafara
• Abraham Sherif Alfarra
• Yanelys Alfonso
• James Abraham Alford II, MANUAL THERAPIST
• Eric Christian Alfrey, CSW
• Stephen Alger
• Ayman Shabib Alhadheri, MD

• Internal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.